Renal Cell Carcinoma (RCC) is a lethal cancer with propensity for wide metastasis. The patterns of metastases are not clearly defined, and patients can present metastasis to unusual sites at the time diagnosis primary tumor or years after radical nephrectomy. Individual diagnostic surgical approaches needed achieve complete resection disease-free margins, even in presence metastatic sites, multifocality, history previous metastasectomy. This provides palliation symptoms an opportunity...

Both dorsal and ventral approaches are acceptable options for the surgical reconstruction of female urethral strictures (FUS), but damage to sphincter clitoral nerves resulting in sexual dysfunction is chief argument against approach. Most reported case series retrospective none has evaluated functions. This study prospectively evaluates early functional results after onlay vaginal graft urethroplasty (DVGU) FUS.All women with a history obstructive voiding symptoms previous dilatation were...

To prospectively compare the Guy's Stone Score (GSS), S.T.O.N.E. [stone size (S), tract length (T), obstruction (O), number of involved calices (N), and essence or stone density (E)] score Clinical Research Office Endourological Society (CROES) nephrolithometric nomogram to predict percutaneous nephrolithotomy (PCNL) success rate assess correlation with perioperative complications.We evaluated all consecutive PCNL patients at our institute between 1 November 2013 31 May 2015. The above...

Finger and partial finger amputations are commonly due to traumatic injuries; digit loss may also be attributed congenital malformations disease. prostheses difficult fabricate as they demand both aesthetic function. When dealing with these types of prostheses, the only method gaining successful retention is sleeve remnant stump thin silicone.A 28-year-old man reported a chief complaint unaesthetic look amputated ring left hand. In this case, was missing, adjacent splinted an adhesive...

ABSTRACT Primary urethral cancer is a rare condition often manifesting in the sixth decade of life and typically associated with stricture disease. A 65-year-old male, known case urethra, underwent perineal urethrostomy 10 years back. He presented growth at site biopsy revealed squamous cell carcinoma. Magnetic resonance imaging pelvis that lesion extended into penile prostatic urethra possible involvement corpus spongiosum, bulbospongiosus, bladder neck. Radical cystectomy, penectomy,...

Objective: To evaluate the relationship between erectile dysfunction (ED), based on five-item International Index of Erectile Function questionnaire (IIEF-5), and presence metabolic syndrome (MetS) or its components Adult Treatment Panel III guidelines. We also explored impact increasing insulin resistance (IR), as calculated using Homeostatic Model Assessment for Insulin Resistance (HOMA-IR) equation, severity ED. Pathophysiological links ED testosterone were re-evaluated.Patients methods:...

Introduction: Shockwave-lithotripsy (SWL) provides a noninvasive and effective option for the management of ureteric calculi. Several factors may affect success SWL. Identification these predictive will both increase efficacy decrease cost. This study was designed to identify affecting outcome SWL ureteral stones. Materials Methods: conducted from March 2012 November 2014 in patients with solitary calculi who were managed Data analyzed clinical radiological associated treatment outcome....

To prospectively evaluate the feasibility and initial results of an everted saphenous vein graft (eSVG) as a dorsolateral onlay, in patients with long anterior urethral strictures and/or chronic tobacco users.In all, 20 (>7 cm) exposed oral mucosa were included study. The harvested SVG was hydro-distended, detubularised, everted. Substitution urethroplasty using eSVG performed onlay technique. Symptoms assessed International Prostate Symptom Score (IPSS) uroflowmetry at 1, 3 6 months;...

Leiomyoma is a benign smooth muscle tumor that rarely affects children and occurs most frequently in the uterine myometrium gastrointestinal tract. Its occurrence oral cavity considered rare probably because of scarcity tissue cavity. The common intraoral sites for leiomyoma are lips, palate tongue. purpose this case report to present clinical features, diagnosis treatment 13-year-old girl with 4-month history swelling her left mandibular area extending from first molar retromolar region.

Prostate-specific membrane antigen (PSMA) positron emission tomography/ computed tomography (PET-CT) is widely used as a staging tool for patients with prostate cancer (PCa). The objective of the study to assess diagnostic accuracy 68Ga-PSMA-PET/CT PCa, which may help us avoid unnecessary biopsies in intermediate prostate-specific (PSA) levels.In this prospective study, 81 suspected either raised PSA between 4-20 ng/ml or abnormal digital rectal examination (DRE) findings were included. was...

Polyurethane double-J ureteral stents are widely used in the field of urology. Postoperatively, patient education about stent and making sure it is removed at prescribed time an utmost necessity. Forgotten not only disastrous for but also fraught with serious medico-legal implications urologist. Herein, we present four cases long-term retained part its varied presentation subsequent management.

To conduct a prospective randomised study comparing the safety, effectiveness and treatment outcomes in patients undergoing bipolar transurethral resection of prostate (bTURP) photoselective vaporisation (PVP) under sedoanalgesia, as sedoanalgesia is safe effective technique suitable for minimally invasive endourological procedures although studies have confirmed that both TURP PVP are feasible there none two.Between November 2014 April 2016, all satisfying eligibility criteria underwent...

Oral mucosal graft (OMG) is the gold standard for urethral substitution but has poor results in long anterior strictures and chronic tobacco-exposed oral mucosa. Saphenous vein been recently described long-segment stricture with successful initial results. Our objective was to compare early outcomes of everted saphenous (eSVG) urethroplasty patients mucosa OMG nontobacco-exposed strictures.30 underwent using Dorsolateral onlay approach. Fifteen healthy (Group 1) 15 who had unhealthy due...

In our part of the world, many patients present with hypospadias in adult age, where results are often poor and associated increased complications. This study was conducted to assess factors affecting outcome single stage surgery adults.This included (>12 years) undergoing repair stage. Preoperative were assessed parameters including early complications (within 1 month) late (after studied statistically analyzed.Of 31 (mean age 20.8 6 7.87 years), 38.7% had a history previous surgery. Mean...

To evaluate the efficacy of androgen-deprivation therapy (ADT) in relieving urinary retention patients with advanced prostate cancer presenting or a high post-void residual urine volume (PVR).Patients an indwelling catheter for acute/chronic retention, PVR (>200 mL) who had not received any previous treatment were included study. Patients localised eligible receiving aimed at cure excluded. All enrolled managed by ADT (LHRH antagonist/agonist orchidectomy) combined α-adrenoceptor...

Angiosarcoma is a very rare mesenchymal tumor of penis. Though extremely unusual, it should be considered in the differential diagnosis patients presenting with penile growth or localized subcutaneous lesions as they are aggressive and there high chance recurrence. One such case reported here, which was aggressively treated total penectomy patient did not show any recurrence 2 years follow-up.

<title>Abstract</title> Background:<bold> </bold> Benign prostatic hyperplasia is on the rise as life expectancy has been increased due to medical advancements. TURP once a gold standard now slowly replaced by lasers. As patients continue seeking less invasive and more efficient treatment options, they must be provided with evidence-based options<bold>. </bold>Studies using 200-watt thulium lasers are scant have mixed population of small large prostates. This study focuses mainly...